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Vermont rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $6.61 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.72 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.22